若い女性のミクロコック性尿路感染症

M Sellin, D I Cooke, W A Gillespie

Lancet (London, England)

|September 27, 1975

まとめ

ノボビオシン耐性菌は,若い女性の急性尿路感染症の重要な原因であり,E. coli. に似ています. これらの特定の微小菌は,選択的に病原性であり,通常,正常な排尿性細菌系には見られないように見える.

科学分野:

泌尿器科泌尿器科とは
微生物学微生物学とは
感染症感染症は感染症です.

背景:

尿路感染症 (UTI) は一般的であり,Escherichia coliが最も頻繁な病原体である.
急性尿路感染症における他の細菌,特にマイクロコックスの役割については,さらなる解明が必要である.

研究の目的:

若い女性における小胞菌性尿路感染症の流行と特徴を調査する.
マイクロコック性尿路感染症と,他の一般的な尿病原菌によって引き起こされる尿路感染症を比較する.

主な方法:

急性尿路感染症の若い女性を対象とした前向きな研究.
原因となる微生物の特定と特徴付け,マイクロコックスを含む.
臨床症状,発熱症,および潜在的な病因因子の評価.

主要な成果:

ノボビオシン耐性サブグループ3のマイクロコックは,E. coliに次いで,急性尿路感染症の2番目に一般的な原因でした.
プロテウス・ミラビリスは,他に唯一,重要な原因となる生物を特定した.
臨床的表情と病因的要因は,マイクロコック性尿路感染症と大腸菌性尿路感染症の間に類似していました.
特定の感染性マイクロコッカルバイオタイプは,女性の正常な泌尿器生殖器系菌群にめったに見つからず,選択的病原性を示唆しています.
菌根性尿路感染症は,大腸菌感染症と同様に,しばしば性交の後に行われていましたが,感染は性的に媒介されたものではありませんでした.

結論:

ノボビオシン耐性菌は,若い女性における急性尿路感染症の顕著な原因である.
これらの微小菌は,尿路で選択的病原性を示す.
性行為と関連しているものの,マイクロコック性尿路感染症は性感染症とはみなされない.

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